The Development and Testing of the Nursing Teamwork Survey

Kalisch, Beatrice J.; Lee, Hyunhwa; Salas, Eduardo

doi:10.1097/nnr.0b013e3181c3bd42

Cited by 99 publications

(177 citation statements)

References 17 publications

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“…While we tend to agree with the critiques of the fit indices, we are hesitant to entirely disregard them due to their previous common use (e.g., [29-31]). Consequently, we report the χ 2 test of model-data fit and the fit indices indicated above, though we are mindful that none of these are definitive for our current analyses given the intentional inclusion of non-redundant items within each ACT concept.…”

Section: Methodsmentioning

confidence: 56%

Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care

Estabrooks

Squires

Hayduk

et al. 2011

BMC Med Res Methodol

116

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BackgroundOrganizational context has the potential to influence the use of new knowledge. However, despite advances in understanding the theoretical base of organizational context, its measurement has not been adequately addressed, limiting our ability to quantify and assess context in healthcare settings and thus, advance development of contextual interventions to improve patient care. We developed the Alberta Context Tool (the ACT) to address this concern. It consists of 58 items representing 10 modifiable contextual concepts. We reported the initial validation of the ACT in 2009. This paper presents the second stage of the psychometric validation of the ACT.MethodsWe used the Standards for Educational and Psychological Testing to frame our validity assessment. Data from 645 English speaking healthcare aides from 25 urban residential long-term care facilities (nursing homes) in the three Canadian Prairie Provinces were used for this stage of validation. In this stage we focused on: (1) advanced aspects of internal structure (e.g., confirmatory factor analysis) and (2) relations with other variables validity evidence. To assess reliability and validity of scores obtained using the ACT we conducted: Cronbach's alpha, confirmatory factor analysis, analysis of variance, and tests of association. We also assessed the performance of the ACT when individual responses were aggregated to the care unit level, because the instrument was developed to obtain unit-level scores of context.ResultsItem-total correlations exceeded acceptable standards (> 0.3) for the majority of items (51 of 58). We ran three confirmatory factor models. Model 1 (all ACT items) displayed unacceptable fit overall and for five specific items (1 item on adequate space for resident care in the Organizational Slack-Space ACT concept and 4 items on use of electronic resources in the Structural and Electronic Resources ACT concept). This prompted specification of two additional models. Model 2 used the 7 scaled ACT concepts while Model 3 used the 3 count-based ACT concepts. Both models displayed substantially improved fit in comparison to Model 1. Cronbach's alpha for the 10 ACT concepts ranged from 0.37 to 0.92 with 2 concepts performing below the commonly accepted standard of 0.70. Bivariate associations between the ACT concepts and instrumental research utilization levels (which the ACT should predict) were statistically significant at the 5% level for 8 of the 10 ACT concepts. The majority (8/10) of the ACT concepts also showed a statistically significant trend of increasing mean scores when arrayed across the lowest to the highest levels of instrumental research use.ConclusionsThe validation process in this study demonstrated additional empirical support for construct validity of the ACT, when completed by healthcare aides in nursing homes. The overall pattern of the data was consistent with the structure hypothesized in the development of the ACT and supports the ACT as an appropriate measure for assessing organizational context in nursing homes. ...

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Section: Methodsmentioning

confidence: 56%

Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care

Estabrooks

Squires

Hayduk

et al. 2011

BMC Med Res Methodol

116

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“…Kalisch, Hyunhwa, & Salas, 2010).The questionnaire comprises of five subscales including trust (7 items), team orientation (9 items), backup (6 items), SMMs (7 items), and team leadership (4 items).…”

Section: Data Collectionmentioning

confidence: 99%

“…The questionnaire focused on nurse leaders' ability to promote a standard of excellence, communicate, respond to change and situations and too demonstrate an awareness of staff and the unit needs. The nursing leadership is a reliable tool reporting a Cronbach's alpha=0.87 (Shortell et al, 1991).Nursing teamwork was measured using the 33-item nursing team survey (NTS) (B. Kalisch, Hyunhwa, & Salas, 2010).The questionnaire comprises of five subscales including trust (7 items), team orientation (9 items), backup (6 items), SMMs (7 items), and team leadership (4 items).Respondents were asked to rate items using a Likert scale ranging from rarely (1) to always (5). …”

mentioning

confidence: 99%

Factors contributing to nursing team work in an acute care tertiary hospital

et al. 2017

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Factors contributing to nursing team work in an acute care tertiary hospital Background:Effective nursing teamwork is an essential component of quality health care and patient safety.Understanding which factors foster team work ensures teamwork qualities are cultivated and sustained.Objective: This study aims to investigate which factors are associated with team work in an Australian acute care tertiary hospital across all inpatient and outpatient settings. Methods:All nurses and midwives rostered to inpatient and outpatient wards in an acute care 600 bed hospital in Sydney Australia were invited to participate in a cross sectional survey between September to October 2013. Data were collected, collated, checked and analysed using Statistical Package for the Social Sciences (SPSS) Version 21. Factors reporting a significant correlation with where p<0.05were analysed in a multiple regression model. Results:A total of 501 surveys were returned. Nursing teamwork scores ranged between 3.32 and 4.08.Teamwork subscale Shared Mental Model consistently rated the highest. Mean scores for overall communication between nurses and team leadership were 3.6 (S.D. 0.57) and 3.8 (SD 0.6) respectively. Leadership and communication between nurses were significant predictors of team work p<0.001. Conclusion:Our findings describe factors predictive of teamwork in an acute care tertiary based hospital setting across inpatient and outpatient specialty units. Our findings are of particular relevance in identifying areas of nurse education and workforce planning to improve nursing team work. AimsThis study aims to investigate which factors are associated with nursing team work in a large Australian acute care hospital setting Methods DesignAll nurses and midwives rostered to inpatient and outpatient wards in a acute care 600 bed hospital in Sydney Australia were invited to participate in a cross sectional survey between September to October 2013. Nurses and midwives who were on leave and those who worked on a casual basis during the study period were excluded from the study. Ethical approval was obtained from the South Eastern Sydney Local Health District Human research Ethics Committee and Research Governance 4Office, St George Hospital to undertake a de-identified nursing workforce survey. Nurse and Midwifery Unit Managers were informed of the study and their participation sought .All nurses and midwives were informed of the study through in-services. In order to increase response rate nurses were allotted additional time by hospital management to complete the questionnaire. (Pit, Vo, & Pyakurel, 2014). Questionnaires were returned in a large envelope and placed in a box located on each patient care unit. The questionnaires were collected each day by a research assistant. Data CollectionData were collected relating to nurse workforce demographics, communication between nurses, nursing team work, and perceived model of nursing care. Nurse workforce demographics included; gender, age, designation, education level, new graduate statu...

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“…The definition of teamwork utilized in this study was a group of two or more people working interdependently to achieve a common goal (11) . Teamwork has been studied in many sectors of business and industry and has been noted to be an essential component of high performance work organizations (12) .…”

Section: Nursing Teamworkmentioning

confidence: 99%

“…The Nursing Teamwork Survey (NTS) was utilized to determine the level of teamwork on each patient care unit (11) . The survey was administered to the nursing of the time, 4=75% of the time and 5=always).…”

Section: Nursing Teamworkmentioning

confidence: 99%

Nursing teamwork and time to respond to call lights: an exploratory study

Kalisch

Labelle²,

Xie³

2013

Rev. Latino-Am. Enfermagem

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AIM: The aim of this exploratory study was to determine whether the level of nursing teamwork is correlated to call light answering time in acute care hospital patient care units. Background: Teamwork has been shown to improve productivity. In this study, we examine the relationship between unit call light response time as a measure of productivity and the level of teamwork on the unit. METHOD: The Nursing Teamwork Survey was administered to nursing staff on 18 inpatient units in 3 hospitals. In addition to the overall teamwork score, the NTS has 5 subscales. Call light response times were collected from electronic systems which measures the time it takes for nursing staff on a given unit to respond to patient call lights. RESULTS: There was no significant relationship between call light response time and teamwork overall or on the five subscales. Shared mental models, which comprise the conceptual understanding of the roles and responsibilities of each team member, however was moderately correlated with call-light answering times. CONCLUSIONS: It is logical that shared mental models would be associated with call light response time since a common problem in patient units is the "it's not my job syndrome" where nursing staff do not answer call lights for patients assigned to someone else. More research with a larger number of patient units is needed to validate these findings.

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The Development and Testing of the Nursing Teamwork Survey

Abstract: The NTS was demonstrated to have good psychometric properties. Further NTS research should include testing the tool in hospitals with varying characteristics and exploring the links to clinical and operational outcomes.

Cited by 99 publications

References 17 publications

Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care

Advancing the argument for validity of the Alberta Context Tool with healthcare aides in residential long-term care

Factors contributing to nursing team work in an acute care tertiary hospital

Nursing teamwork and time to respond to call lights: an exploratory study

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